Or1130 Multimorbidity And Not Ethnicity Does Account For Differences In The Health-Related Quality Of Life Of Immigrant Elderly In The Netherlands.

Conference: 
Author(s): 
Ilona Verhagen, Wynand Ros, Bas Steunenberg e Niek de Wit
Text: 
Background: Data on how different groups of elderly immigrants perceive health-related quality of life (HRQOL) is scarce and research on the influence of ethnicity on HRQOL across ethnic groups is missing. Measuring HRQOL may help to detect cross-cultural differences and to decide whether ethnic-specific health and prevention programmes are required to improve HRQOL.
Objective: We investigated differences in HRQOL among three elderly immigrant populations with a special focus on the contribution of ethnicity, in addition to other well-known determinants, to HRQOL.
Methods: Data were collected from 2011 to 2012 as part of the STEM project, a quasi-experimental study in the Netherlands focusing on health of immigrant elderly. A survey was conducted among 201 elderly (aged 55 years and older) Moroccans (98), Turks (69), and Moluccans (34). HRQOL was assessed using the SF-12, measuring physical and mental health composite scores (PCS resp. MCS). Chi-square tests and ANOVAs were performed for group comparison. Hierarchical multiple linear regressions were conducted to examine whether ethnicity uniquely contributed to the observed variance in HRQOL when multimorbidity, loneliness, socio-demographics, and acculturation were taken into account.
Results: Moroccans had the lowest scores on PCS (34.331.4) and MCS (42.127.0), followed by Turks (45.727.0 for PCS and 54.422.2 for MCS) and Moluccans (71.721.2 for PCS and 74.422.1 for MCS). Ethnicity was not independently associated with PCS and MCS scores, in contrast to loneliness (PCS h -0.461, pConclusion: The lower level of HRQOL reported by elderly immigrant populations was mainly affected by multimorbidity and loneliness, but not ethnicity. Similar to native elders, interventions aiming at improving HRQOL for immigrant elderly should focus on loneliness and (mental and physical) disease.
Literature: 
OR1130 MULTIMORBIDITY AND NOT ETHNICITY DOES ACCOUNT FOR DIFFERENCES IN THE HEALTH-RELATED QUALITY OF LIFE OF IMMIGRANT ELDERLY IN THE NETHERLANDS.
Keywords: 
Health-related quality of life, immigrant elderly